FI114609B - Elektrokirurgiskt instrument - Google Patents

Elektrokirurgiskt instrument Download PDF

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Publication number
FI114609B
FI114609B FI956124A FI956124A FI114609B FI 114609 B FI114609 B FI 114609B FI 956124 A FI956124 A FI 956124A FI 956124 A FI956124 A FI 956124A FI 114609 B FI114609 B FI 114609B
Authority
FI
Finland
Prior art keywords
cutting
edge
composite
blade
electrosurgical
Prior art date
Application number
FI956124A
Other languages
English (en)
Finnish (fi)
Other versions
FI956124A (sv
FI956124A0 (sv
Inventor
Nigel Mark Goble
Colin Charles Owen Goble
Original Assignee
Gyrus Medical Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
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Application filed by Gyrus Medical Ltd filed Critical Gyrus Medical Ltd
Publication of FI956124A0 publication Critical patent/FI956124A0/sv
Publication of FI956124A publication Critical patent/FI956124A/sv
Application granted granted Critical
Publication of FI114609B publication Critical patent/FI114609B/sv

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1402—Probes for open surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2945—Curved jaws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00107—Coatings on the energy applicator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1412—Blade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
    • A61B2018/1432—Needle curved

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Surgical Instruments (AREA)
  • Control Of Resistance Heating (AREA)
  • Resistance Heating (AREA)
  • Materials For Medical Uses (AREA)
  • Organic Insulating Materials (AREA)
  • Laser Surgery Devices (AREA)
  • Scissors And Nippers (AREA)

Claims (16)

1. Elektrokirurgiskt skärredskap omfattande en instrumentkropp (10), en första (12) och en andra (14) skäregg, varav ätminstone den ena är vridbart anordnad 5 vid kroppen (10), sä att den kan utföra en skärfunktion med den andra eggen, och elektriska matarledningar (24), vilka är anslutna tili kroppen (10), sä att elektro-kirurgisk spänning kan tillföras den första (12) och andra eggen (14), kännetecknad av att den 10 första eggen (12) utgörs av en kompositegg omfattande en ledande yttre elektrod (12Δ), ett inre ledande skikt (12C) och ett isoleringsskikt skiktat mellan den yttre elektroden och det inre skiktet, varvid matarledningarna (24) är kopplade tili den yttre elektroden (12A) 15 respektive det inre skiktet (12C).
2. Redskap i enlighet med patentkrav 1, k ä n n e -tecknat av att den ena matarledningen (24) är direkt kopplad tili det inre skiktet (12C).
. 3. Redskap i enlighet med patentkrav 1, k ä n n e - 20. e c k n a t av att den ena matarledningen (24) är kopplad tili den andra eggen (14), och att den är ·, elektriskt kopplad tili det inre skiktet av den komposita första eggen (12) med hjälp av ett elektriskt kontakt-, ·. element (34) mellan den andra eggen (14) och det inre 25 skiktet (12C).
·. 4. Redskap i enlighet med patentkrav 3, k ä n n e - tecknat av att den andra eggen (14) omfattar en ledande kropp, vilken är i elektrisk kontakt med det inre skiktet (12C) av den komposita första eggen (12) , och '’·* 30 varvid nämnda matarledning (24) är kopplad tili den '· ledande kroppen pä sä sätt, att den ledande kroppen är 17 1 1 4609 elektriskt seriekopplad mellan nämnda matarledning (24) och det inre skiktet (12C).
5. Redskap i enlighet med nägot av patentkraven 1-4, kännetecknat av att de bäda eggarna (12, 14) 5 omfattar en skärande kant (12D, 14D), vilka är riktade pä sa sätt, att eggarna (12, 14) kan utföra en progressiv skärfunktion, och att de bägge skärande kanterna (12D, 14D) är formade av ett metallmaterial.
6. Redskap i enlighet med nägot av patentkraven 1-5, 10 kännetecknat av att den andra eggen (14) omfattar en fullständigt metallisk kropp, och att dess skärande kant (14D) är formad pä kroppen.
7. Redskap i enlighet med nägot av patentkraven 1-6, kännetecknat av att bäda eggarna (12, 14) är 15 vridbart anordnade pä instrumentkroppen (10).
8. Redskap i enlighet med nägot av patentkraven 1-7, kännetecknat av att varje egg (12, 14) om-fattar ett längsträckt organ med en ytteryta, en inre • skärande yta (12F, 14F) och en skärande kant (12D, 14D), ,20 vilken löper utmed eggen och som definierar en gräns mellan den skärande ytan (12F, 14F) och den ytteryta som löper utmed den ena ytan av den skärande ytan, och varvid , .·. eggarna (12, 14) är anordnade pä instrumentkroppen (10) pä sä sätt, att deras respektive skärande kanter (12D, ··· 25 14D) utför en progressiv skärfunktion, dä eggen rör sig «Mi mot en sluten konfiguration, varvid de skärande ytorna ; ’·_ (12D, 14D) befinner sig i ett motstäende förhällande och ,··«_ varvid ytterytan av den komposita första eggen (12) definierar den skärsida som löper utmed den egg som ; *t* 30 ligger intill dess skärande kant (12D), varvid varje inre * · ledande skikt (12C), isoleringsskikt (12B) och yttre 18 1 1 4609 elektrod (12A) är anordnade utmed skärsidan och varvid den skärande ytan (12F) är formad pa det inre ledande skiktet, ätminstone intill den skärande kanten.
9. Redskap i enlighet med patentkrav 8, k ä n n e -5 tecknat av att den andra eggen (14) omfattar en ledande kropp, och även en skärsida, som löper utmed eggen intill dess skärande kant (14D), och av att den ledande kroppen är bar ätminstone vid den skärande kanten (14D) och utmed skärsidan.
10. Redskap i enlighet med patentkraven 9, k ä n n e - tecknat av att den andra eggens (14) ledande kropp är bar over ätminstone den största delen av denna eggs skärande yta (14F).
11. Redskap i enlighet med nägot av patentkraven 8 - 10, 15 kännetecknat av att den yttre elektroden (12A), isoleringsskiktet (12B) och det inre skiktet (12C) av den komposita första eggen är bara utmed den elektro-kirurgiska skärande kanten (12F) som bildar en del av :. nämnda ytteryta av den komposita första eggen (12) och : 20 som löper utmed eggen (12), intill eggens skärande yta.
12. Redskap i enlighet med patentkrav 11, k ä n n e - '. t e c k n a t av att den elektrokirurgiska skärande ytan ; (12F) löper utmed den komposita första eggen (12) invid den motstaende sidan av den skärande ytan av denna egg j* 25 frän den skärande kanten (12D), och varvid eggarna (12, 14) är formade och anordnade pä sä sätt, att dä de : befinner sig i en sluten konfiguration löper den andra ,···, eggens (14) skärande kant (14D) utmed den komposita ,·, första eggens (12) skärande yta (12D) och ligger ätskild i *. 30 frän den komposita första eggens (12) elektrokirurgiska skärande yta (12F). 19 1 1 4609
13. Redskap i enlighet med nägot av patentkraven 1-12, kännetecknat av att den vidare omfattar en strömställare (34), vilken reverserar matarledningarnas kopplingar.
14. Elektrokirurgisk skäranordning omfattande en elektro- kirurgisk generator (26) och ett bipolart elektro-kirurgiskt skärredskap i enlighet med nägot av patent-kraven 1-13, kännetecknad av att generatorn omfattar en asymmetrisk utgäng med en aktiv 10 anslutning (26A) och en passiv anslutning (26B), varvid matarledningskopplingarna (24) är anordnade pä sä sätt, att för torkning och mekanisk skärning av en vävnad är den aktiva anslutningen (26A) kopplad tili den komposita första eggens (12) yttre elektrod (12A).
15. Elektrokirurgisk skäranordning omfattande en elektro kirurgisk generator (26) och ett bipolart elektro-kirurgiskt skärredskap i enlighet med nägot av patent-kraven 1-13, kännetecknad av generatorn (26) omfattar en asymmetrisk utgäng med en aktiv an-·· 20 slutning (26A) och en passiv anslutning (26B), varvid matarledningskopplingarna (24) är anordnade pä sä sätt, ·· att för en elektrokirurgisk skärning är den passiva anslutningen (26B) kopplad tili den komposita första : eggens (12) yttre elektrod (12A).
16. Anordning i enlighet med patentkrav 15, kanne- tecknadav att skärorganet omfattar en koppling (26), varmed kopplingarna frän generatorns (26) an-f slutningar (24) tili eggarna (12, 14) reverseras. • ·
FI956124A 1994-12-21 1995-12-19 Elektrokirurgiskt instrument FI114609B (sv)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB9425781 1994-12-21
GBGB9425781.3A GB9425781D0 (en) 1994-12-21 1994-12-21 Electrosurgical instrument

Publications (3)

Publication Number Publication Date
FI956124A0 FI956124A0 (sv) 1995-12-19
FI956124A FI956124A (sv) 1996-06-22
FI114609B true FI114609B (sv) 2004-11-30

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ID=10766277

Family Applications (1)

Application Number Title Priority Date Filing Date
FI956124A FI114609B (sv) 1994-12-21 1995-12-19 Elektrokirurgiskt instrument

Country Status (14)

Country Link
US (1) US5860975A (sv)
EP (1) EP0717966B1 (sv)
JP (1) JP3842320B2 (sv)
KR (1) KR100439328B1 (sv)
CN (1) CN1102845C (sv)
AT (1) ATE236584T1 (sv)
AU (1) AU713677B2 (sv)
CA (1) CA2165738C (sv)
DE (1) DE69530270T2 (sv)
ES (1) ES2196043T3 (sv)
FI (1) FI114609B (sv)
GB (1) GB9425781D0 (sv)
NO (1) NO320071B1 (sv)
TW (1) TW286272B (sv)

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NO320071B1 (no) 2005-10-17
KR960020947A (ko) 1996-07-18
DE69530270T2 (de) 2004-03-04
DE69530270D1 (de) 2003-05-15
US5860975A (en) 1999-01-19
CA2165738C (en) 2006-12-05
AU713677B2 (en) 1999-12-09
FI956124A (sv) 1996-06-22
FI956124A0 (sv) 1995-12-19
NO955139L (no) 1996-06-24
TW286272B (sv) 1996-09-21
EP0717966A1 (en) 1996-06-26
ATE236584T1 (de) 2003-04-15
CN1130052A (zh) 1996-09-04
GB9425781D0 (en) 1995-02-22
ES2196043T3 (es) 2003-12-16
NO955139D0 (no) 1995-12-18
KR100439328B1 (ko) 2004-10-06
AU4052095A (en) 1996-06-27
JP3842320B2 (ja) 2006-11-08
CA2165738A1 (en) 1996-06-22
EP0717966B1 (en) 2003-04-09
JPH08252263A (ja) 1996-10-01
CN1102845C (zh) 2003-03-12

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